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問題一覧
1
Haemophilus originates from the Greek word 'haima' and 'philus' which means what?
Blood lover
2
They are obligate parasites on the mucous membranes of humans. And they die rapidly in clinical specimen and very susceptible to drying and extreme temperatures.
Haemophilus
3
Fastidious, non-motile, capnophilic, and facultatively anaerobic bacteria. And most species cannot grow on pure BAP
Haemophilus
4
All species of Haemophilus normally inhabit the URT of humans except for what?
Haemophilus ducreyi
5
Describe the appearance of Haemophilus under the microscope
Gram-negative, small, pleomorphic coccobacilli or rods
6
What are the biochemical test and result for Haemophilus?
(+) catalase (+) oxidase except Haemophilus segnis
7
All Haemophilus are oxidase positive except for what specie?
Haemophilus segnis
8
What are the growth factors of Haemophilus?
X factor (hemin) V factor (NAD)
9
Also known as the X factor
Hemin
10
Also known as the V factor
NAD
11
What are the human pathogens of the genus Haemophilus?
Haemophilus influenzae Haemophilus ducreyi Haemophilus parainfluenzae Haemophilus paraphrophilus Haemophilus parahaemolyticus Haemophilus pittmaniae Haemophilus aegypticus Haemophilus segnis
12
It is the only member of the genus Haemophilus that produces IgA protease.
Haemophilus influenzae
13
What is the mode of transmission of Haemophilus influenzae?
Person-to-person (droplets)
14
It is the main cause of meningitis in children
Haemophilus influenzae
15
Haemophilus influenzae is very ___________ and can be rapidly killed by phagocytes.
Fastidious
16
It spreads from nasopharynx and the regional lymph nodes to the blood and finally to the Meninges.
Haemophilus influenzae
17
What is the principal Virulence factor of Haemophilus influenzae?
Polysaccharide capsule
18
What are the other Virulence factors of Haemophilus influenzae aside the polysaccharide capsule?
IgA protease Fimbriae Lipopolysaccharide
19
What is the biochemical test for Haemophilus influenzae?
Porphyrin (-)
20
What are the two categories of Haemophilus influenzae?
Typeable form Non-Typeable form
21
What are the encapsulated strains of the Typeable form of Haemophilus influezae?
A, B, C, D, E and F
22
This category of Haemophilus influenzae is based on the capsular characteristics of H. influenzae
Typeable form Haemophilus influenzae
23
It is the cause of serious infections in humans and leading cause of meningitis in unvaccinated children.
Haemophilus influenzae type b (Hib)
24
What are the other related infections of Non-typeable form of Haemophilus influenzae?
Conjunctivitis Sinusitis (localized infections)
25
This category of Haemophilus influenzae does not produce capsules and part of the indigenous microbiota of the URT and adheres to human epithelial cells
Non-typeable form Haemophilus influenzae
26
It is the second prevalent etiologic agent for otitis media with effusion (middle ear infection) after Streptococcus pneumoniae
Non-typeable form Haemophilus influenzae
27
It is commonly found as indigenous microbiota of the URT of adult
Haemophilus parainfluenzae
28
True/False: Haemophilus ducreyi is part of the indigenous human microbiota.
False
29
It is the agent of chancroid which is highly communicable, sexually transmitted, genital ulcer disease.
Haemophilus ducreyi
30
What are the hallmarks of chanroid caused by Haemophilus ducreyi?
Buboes or suppurative, enlarged, draining, inguinal lymph nodes.
31
Describe the appearance of Haemophilus ducreyi in CAP
Colonies are transparent, small, non-mucoid, and tan or yellow.
32
This Haemophilus specie has mouse/bleach-like odor; non-haemolytic
Haemophilus influenzae
33
What is the other term for Haemophilus influenzae?
Pfeiffer's bacillus
34
This Haemophilus specie is genetically related to Haemophilus influenzae
Haemophilus aegypticus
35
What is the other term for Haemophilus aegypticus?
Koch-Weeks bacillus
36
This Haemophilus specie is Non-typeable
Haemophilus influenzae biogroup aegypticus
37
This Haemophilus specie is B-haemolytic
Haemophilus haemolyticus
38
The distinguishing characteristic of this Haemophilus specie is School of fish
Haemophilus ducreyi
39
This Haemophilus specie has tan and dry colonies; B- haemolytic
Haemophilus parahaemolyticus
40
This Haemophilus specie has Fructose and maltose fermentation
Haemophilus parainfluenzae
41
What Haemophilus species contain/s x and v growth factors?
Haemophilus influenzae Haemophilus aegypticus Haemophilus influenzae biogroup aegypticus Haemophilus haemolyticus
42
What Haemophilus species contain/s x growth factor only?
Haemophilus ducreyi
43
What Haemophilus species contain/s v growth factor only?
Haemophilus parahaemolyticus Haemophilus parainfluenzae
44
What are the associated infection/disease with Haemophilus influenzae?
Meningitis Epiglottitis Arthritis
45
What are the associated infection/disease with Haemophilus aegypticus?
Pink eye conjunctivitis
46
What are the associated infection/disease with Haemophilus influenzae biogroup aegyticus?
Brazilian purpuric fever
47
What are the associated infection/disease with Haemophilus ducreyi?
Chancroid or soft chancre
48
What are the associated infection/disease with Haemophilus parainfluenzae?
Endocarditis
49
What are the specimens used in the laboratory diagnosis of Haemophilus?
CSF, sputum, genital lesion or ulcer, joint fluid, vaginal swab, abscess drainage, conjunctival swab, bronchial washing & blood
50
What should be done for recovery of Haemophilus ducreyi?
For recovery of H. ducreyi, the ulcer should be cleansed with a sterile gauze that is pre-moistened w/ sterile phosphate-buffered saline and plating is preferred instead of a transport medium for the isolation of H. ducreyi.
51
What is preffered instead of a transport medium for the recovery of Haemophilus ducreyi?
Plating
52
True/False: Haemophilus need an immediate transport and processing for their isolation.
True
53
What are the tests used in the laboratory diagnosis of Haemophilus?
Gram stain Culture Porphyrin test Serological test
54
It is used for rapid direct identification of the capsular antigens of H. influenzae.
Neufeld- Quellung reaction
55
Serotype can be determined through the identification of the distinct capsular antigen.
Serologic test
56
It detects the presence of enzymes that converts ALA into porphyrins.
Porphyrin test
57
Test for identifying the heme-producing species of Haemophilus
Porphyrin test
58
It appears to have in "school-of-fish" gram stain
Haemophilus ducreyi
59
Haemophilus species resemble an______________________ because of their pleomorphic appearances.
"amorphous serous material"
60
What are the media used for the culture of Haemophilus species?
CAP BAP BHI Thioglycollate
61
It is the preferred medium for Haemophilus because it contains the X and V factors.
CAP
62
Haemophilus species grow best at ______ degree cent., except H. ducreyi which grows at ___ degree cent. & in an environment with ___________.
35-37 35 5% to 10% CO2
63
It grow as “satellites” on BAP around bacterial colonies and produce NAD like S. aureus
V factor-dependent H. influenzae
64
When Haemophilus are grown anaerobically, only ____ & not hemin, is required.
NAD
65
H. aegypticus requires _____ days of incubation while H. ducreyi requires _____ days.
Four Seven
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No growth of Haemophilus occurs on what medium?
MacConkey agar
67
What is the selective media for Haemophilus influenzae?
Horse’s blood-bacitracin agar for respiratory secretions of patients with cystic fibrosis.
68
What is the selective media for Haemophilus aegypticus?
CAP with 1% IsoVitaleX or Vitox
69
What is the selective media for Haemophilus ducreyi?
Selective Nairobi biplate medium (combination of gonococcal agar and MHA with horse’s blood and vancomycin)
70
It is formerly known as Haemophilus aphrophilus
Aggregalibacter aphrophilus
71
What are included in the HACEK(AACEK) group?
Aggregalibacter aphrophilus Aggregalibacter actinomycetemcomitans Cardiobacterium hominis Eikenella corrodens E. Kingella species
72
They are part of the indigenous microbiota & are considered as opportunistic pathogens. They are small, non-motile, cannot grown on MAC.
HACEK(AACEK) Group
73
HACEK are fastidious and grow slowly on BAP & CAP & require _________ of incubation
7-14 days
74
True/False: HACEK group does not causes slow & progressive bacterial endocarditis
False
75
It is known as the Foam-loving bacterium
Aggregalibacter aphrophilus
76
It is the only catalase-positive HACEK specie
Aggregalibacter actinomycetemcomitans
77
Also known as Actinobacillus actinomycetemcomitans
Aggregalibacter actinomycetemcomitans
78
It infects the aortic valve more freq. than the other HACEK species
Cardiobacterium hominis
79
It shows "false Gram-positive" and the only indole-positive member of the HACEK group
Cardiobacterium hominis
80
It is also known as the corroding bacilli
Eikenella corrodens
81
They are assacharolytic like the species of the genus Moraxella and the least common isolate of the HACEK group
Eikenella corrodens
82
What is the other term for Brucella?
Bang's bacillus
83
Species of this genus are important human and animal pathogens. Obligate aerobes and intracellular parasites.
Brucella
84
They are non-motile, assacharolytic, and non-encapsulated. Some species require an increased supply of CO2 for growth.
Brucella
85
Brucella are localized in tissues that are rich in__________________ & induces spontaneous abortion among animals.
Erythritol (placental tissue)
86
What are the preferred specimen for the isolation of Brucella?
Blood and bone marrow
87
Describe the appearance of brucella under the microscope
Small coccobacilli that are arranged singly, in pairs which have a “sandy appearance”
88
Sheka was observing a BAP and she sees colonies that are small, convex, translucent, yellowish and non-haemolytic. What bacteria do you think is present in the medium?
Brucella
89
What are the species of the genus Brucella?
Brucella abortus Brucella canis Brucella suis Brucella melitensis
90
What are the most virulent among the species of Brucella?
Brucella melitensis Brucella suis
91
It is characterized by normal temperatures in the morning and then followed by high temperatures in the afternoon and evening.
Undulant fever
92
What are the Primary routes of Human infections caused by Brucella?
A. Ingestion of unpasteurized and contaminated milk or cheese from infected animals. B. Inhalation of air around animal carcasses (aerosol infection) C. Penetration of ocular or oral mucosa. D. Direct inoculation into the bloodstream through abrasions in the skin of needlestick injuries.
93
What are specimens that can be used in the Laboratory diagnosis of Brucella?
Blood Bone marrow Skin lesions Placental tissues
94
What are the test/s used in the Laboratory diagnosis of Brucella?
Gram stain Culture Serological test
95
What Serological test is used in Brucella?
Serum agglutination test
96
In the Gram stain of Brucella, ___________ should be substituted for safranin O to improve the Gram Stain
Carbol fuchsin
97
What media are used in the Culture of Brucella?
BAP TSA Castaneda's medium
98
True/False: Turbidity of the specimen is an abnormal occurrence in the culture of Brucella
False
99
In the Culture of Brucella, isolates can be recovered after ______ but may require prolonged incubation up to ______.
7 days 30 days
100
Obligately aerobic, fastidious, gram-negative coccobacilli and they replicate on ciliated respiratory epithelial cells of humans
Bordetella